IDELISA TORRES-BERASTAIN (NPI# 1407842024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407842024 |
| Entity Type | Individual |
| Full Name | IDELISA TORRES-BERASTAIN |
| Credential | M.D. |
| Practice Address |
9582 W Colonial Dr Ocoee FL 34761-6992 |
| Practice Telephone | 4078963055 |
| Practice Fax Number | 8261103866 |
| Mailing Telephone | 4078963055 |
| Mailing Fax Number | 4078261103 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME94666 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | CIGNA | 8992153 | 01 |
| MD | NETWORK HEALTH | 971091 | 01 |
| NH | NH BLUE SHIELD | 01Y007670NH01 | 01 |
| MA | FIRST HEALTH | 2238547 | 01 |
| MA | AETNA/US HEALTHCARE | 3613069 | 01 |
| MA | BLUE CROSS/BLUE SHIELD | J26090 | 01 |
| MA | 2003899 | 05 | |
| MA | RAILROAD MEDICARE | P00197113 | 01 |
| MA | HEALTHY START | 46644 | 01 |
| MA | FALLON | 90531 | 01 |
| NH | NH MEDICAID | 30204323 | 01 |
| MA | TUFTS HEALTH PLAN | 215875 | 01 |
| MA | HARVARD PILGRIM HEALTHCAR | AA17289 | 01 |
| Street Address |
9582 W COLONIAL DR |
| City | OCOEE |
| State | FL |
| Zip Code | 34761-6992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811989296 | Drew Medical Inc | Specialist | 9582 W Colonial Dr, Ocoee, FL 34761-6992 | 2005-08-22 |
| 1790059970 | Diana L Wilson | Radiology | 9582 W Colonial Dr, Ocoee, FL 34761-6992 | 2012-03-06 |
| 1477830818 | Simonmed Imaging Florida LLC | Radiology | 9582 W Colonial Dr, Ocoee, FL 34761-6992 | 2011-11-14 |
| 1285947861 | Takesh Sazmand | Radiology | 9582 W Colonial Dr, Ocoee, FL 34761 | 2010-07-23 |
| 1740507839 | Travis Steven Scharnweber | Radiology | 9582 W Colonial Dr, Ocoee, FL 34761 | 2010-04-28 |
| 1497985469 | Asra Khan | Radiology | 9582 W Colonial Dr, Ocoee, FL 34761-6992 | 2009-07-23 |
| 1679701460 | Erica Taylor Yang | Radiology | 9582 W Colonial Dr, Ocoee, FL 34761-6992 | 2009-06-30 |
| 1770717258 | Noah R Feldman | Radiology | 9582 W Colonial Dr, Ocoee, FL 34761-6992 | 2009-05-12 |
| 1619156635 | Aimee Pamela Carswell | Radiology | 9582 W Colonial Dr, Ocoee, FL 34761 | 2007-10-26 |
| 1134330152 | Amir Moubayed | Radiology | 9582 W Colonial Dr, Ocoee, FL 34761-6992 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736186 | Alyson Foisy | Behavior Technician | 2930 Maguire Road, Suite 200, Ocoee, FL 34761 | 2020-07-05 |
| 1033732797 | Nephron Care & Dialysis LLC | Internal Medicine | Health Central Hospital, 10000 West Colonial Drive, Ocoee, FL 34761 | 2020-05-28 |
| 1255969259 | Medical Risk Solutions | Family Medicine | 175 N Bluford Ave, Ocoee, FL 34761 | 2020-03-27 |
| 1912533027 | Fm Dental, LLC | Clinic/Center | 1104 South Clarke Rd, Suite 10, Ocoee, FL 34761 | 2020-03-20 |
| 1518509330 | Noel Christine Montoya | Behavior Technician | 2930 Maguire Rd Suite 200, Ocoee, FL 34761 | 2019-10-14 |
| 1346895166 | Dentists of Ocoee, Pa | Dentist | 11050 West Colonial Drive, Suite 30, Ocoee, FL 34761 | 2019-08-08 |
| 1386209575 | Chantal Monde | Nurse Practitioner | 1000 W Colonial Drive, Ocoee, FL 34761 | 2019-05-03 |
| 1740844422 | Angela Renee's Home Care LLC | In Home Supportive Care | 2398 Cory Ct, Ocoee, FL 34761 | 2019-04-27 |
| 1346713492 | Orlando Health Central, Inc. | Skilled Nursing Facility | 1300 Hempel Avenue, Ocoee, FL 34761 | 2019-01-10 |
| 1609352970 | Agape's Way, Inc | Nursing Care | 1851 Sparkling Water Circle, Ocoee, FL 34761 | 2018-07-19 |
| Find all providers in zip 34761 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538477906 | Dean L Kolnick | Radiology | 9582 W Colonial Drive, Lee B Cecil, Cpcs, Ocoee, FL 34761 | 2010-09-20 |
| 1063787778 | Orville Josue Oquendo | Radiology | 1151 Blackwood Ave Ste 170, Ocoee, FL 34761-4523 | 2012-03-13 |
| 1790059970 | Diana L Wilson | Radiology | 9582 W Colonial Dr, Ocoee, FL 34761-6992 | 2012-03-06 |
| 1477830818 | Simonmed Imaging Florida LLC | Radiology | 9582 W Colonial Dr, Ocoee, FL 34761-6992 | 2011-11-14 |
| 1285947861 | Takesh Sazmand | Radiology | 9582 W Colonial Dr, Ocoee, FL 34761 | 2010-07-23 |
| 1740507839 | Travis Steven Scharnweber | Radiology | 9582 W Colonial Dr, Ocoee, FL 34761 | 2010-04-28 |
| 1497985469 | Asra Khan | Radiology | 9582 W Colonial Dr, Ocoee, FL 34761-6992 | 2009-07-23 |
| 1679701460 | Erica Taylor Yang | Radiology | 9582 W Colonial Dr, Ocoee, FL 34761-6992 | 2009-06-30 |
| 1770717258 | Noah R Feldman | Radiology | 9582 W Colonial Dr, Ocoee, FL 34761-6992 | 2009-05-12 |
| 1619156635 | Aimee Pamela Carswell | Radiology | 9582 W Colonial Dr, Ocoee, FL 34761 | 2007-10-26 |
| Find all providers in OCOEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.